User

Influence of Body Mass Index, Waist Circumference, and Physical Activity on Age of Menarche in Female Adolescent

Ulfa Puspita Rachma, Annang Giri Moelyo, Imasari Aryani

Abstract

Background: The age of menarche which was referred to first time of teenagers had men­strua­tion can be affected by anthropometric index, including body mass index, and waist circumference. Differences in measurement of body mass index, waist circumference, and intensity of physical activity will make some differences in age of menarche. This research aimed to determine the influence of body mass index, waist circumference and physical activity with age of menarche in late adolescent girls in Surakarta.

Subjects and Method: The data collected by observed 359 adolescent girls aged 15 until 18 years old in Surakarta during September to October 2016 using observational analytic with cross sectional methods. The independent variables were body mass index, waist circum­fe­rence, and physical activity. The dependent variable is age of menarche. Body mass index is measured using BW (kg)/BH² (m²) formula, in which: BW is Body Weight (measured using digital standardized scales) and BH is Body Height (measured using standardized micro­toise). Students asked to fill in the questio­n­naire that contain questions regarding repro­duc­tive health especially menarche and phy­sical activity questionnaire (IPAQ). The data is processed using SPSS for Windows 23.0 and are analyzed using multiple regression analysis.

Results: From the 359 respondents, the mean of age of menarche is 12.6 years (Mean= 12.6; SD= 1). Mean of body mass index is 21.42 kg/m² (Mean= 21.42; SD= 4.44). Mean of waist circum­ference is 70.41 cm (Mean= 70.41; SD= 7.47). There are 87 respondents (24.2%) with low physical activity, 100 respondents (29.5%) with mode­rate physical activity, and 166 res­pondents (46.2%) with high physical activity. Physical activity has significant influence posi­tively (OR= 1.98; 95% CI= 0.39 to 4.72; p= 0.017) on the age of menarche.

Conclusion: Physical activity has significant influence on the age of menarche in adolescent girls in Kota Surakarta, Indonesia.

Keywords: endocrinology, body mass index, waist circumference, physical activity, menar­che, female student

Correspondence: Ulfa Puspita Rachma. Faculty of Medicine, Uni­versitas Sebelas Maret. Jl. Ir. Sutami 36A Sura­karta 57126, Central Java. Email: ulfapr96­@­gmail.com. Mobile: 0823293­42­140.

Journal of Maternal and Child Health (2021), 06(04): 400-408
https://doi.org/10.26911/thejmch.2021.06.04.02

Full Text:

PDF

References

Ajita, Jiwanjot (2014). Overweight and physical activity as a measure of age at menarche in females. Am J Sport Sci Med. 2(1): 32-4. https://doi.org/10.12691/ajssm-2-1-6.


Aksglaede L, Sørensen K, Petersen JH, Skakkebaek NE, Juul A (2009). Re-cent decline in age at breast develop-ment: the Copenhagen Puberty Study. Pediatr. 123(5): e932-9. http://doi.org/10.1542/peds.2008-2491.


Al-Agha AE, Ajlan B, Tatwany BO (2016). Trend in age at menarche in relation to body mass index among children and adolescent girls in Saudi Arabia. Res Rev: J Med Health Sci. 5(5): 1-7. https://www.rroij.com/open-access/trend-in-age-at-menarche-in-relation-to-body-mass-index-amongchild-ren-and-adolescent-girls-in-saudi-arabia-.php?aid=77599.


Ayele E, Berhan Y (2013). Age at menarche among in-school adolescents in Sawla Town, South Ethiopia. Ethiop J Health Sci. 23(3): 189-200. http://doi.org/10.4314/ejhs.v23i3.1.


Babay ZA, Addar MH, Shahid K, Meriki N (2004). Age at menarche and the reproductive performance of Saudi women. Ann Saudi Med. 24(5): 354-6. http://doi.org/10.5144/0256-49-47.2004/354.


Batubara JR, Soesanti F, van de Waal HD (2010). Age at menarche in Indonesian girls: A national survey. Acta Med Indones. 42(2): 78-81. https://pubmed.ncbi.nlm.nih.gov/20513931/.


Bazrafshan H, Behnampour N, Sarabandi F, Mirpour S (2012). Association between puberty and weight, height, dan body mass index in a developing community. J Pak Med Assoc. 6(5): 454-7. https://pubmed.ncbi.nlm.nih.gov/22755308/.


Bernstein L, Ross RK, Lobo RA, Hanisch R, Krailo MD, Henderson BE (1987). The effects of moderate physical activity on menstrual cycle patterns in adolescence: implications for breast cancer prevention. Br J Cancer. 55(6): 681–685. http://doi.org/10.1038/bjc.1987.139.


Bosch AM, Willekens FJ, Baqui AH, Van Ginneken JK, Hutter I (2008). Association between age at menarche and early-life nutritional status in rural Bangladesh. J Biosoc Sci Cambridge University Press. 40: 223-37. http://doi.org/10.1017/S00219320070024-90.


Dare FO, Ogunniyi SO, Makinde OO (1992). Biosocial factors affecting menarche in a mixed Nigerian population. Cent Afr J Med. 38(2): 77–81. https://pubmed.ncbi.nlm.nih.gov/1505015/.


Farahmand M, Ramezani Tehrani F, Azizi F (2012). Whether age of menarche is influenced by body mass index and lipoproteins profile? a retrospective study. Iran J Reprod Med. 10(4): 337–42. https://pubmed.ncbi.nlm.nih.gov/25246895/.


Frisch RE, Revelle R (1970). Height and weight at menarche and a hypothesis of critical body weights and adolescent events. Sci. 169(3943): 397-9. http://doi.org/10.1126/science.169.3943.397.


Fryar CD, Gu Q, and Ogden CL. Dalam CDC (2012). Vital and health statistics: Anthropometric reference data for children and adults United States, 2007-2010. National Center for Health Statistics, Vital Health Stat: 11 (252). https://www.cdc.gov/nchs/data/series/sr_03/sr03_039.pdf.


Guillette LJ Jr, Gross TS, Masson GR, Matter JM, Percival HF, Woodward AR (1994). Developmental abnormalities of the gonad and abnormal sex hormone concentrations in juvenile alligators from contaminated and control lakes in Florida. Environ Health Perspect. 102(8): 680–8.http://doi.org/10.1289/ehp.941026-80.


Heger S, Körner A, Meigen C, Gausche R, Keller A, Keller E (2008). Impact of weight status on the onset and parameters of puberty: analysis of three representative cohorts from central Europe. J Pediatr Endocrinol Metab. 21: 865-77. http://doi.org/10.1515/JPEM.2008.21.9.865.


Heys M, Schooling CM, Jiang CQ, Cowling BJ, Lao X, Zhang W, Cheng KK, Adab P, Thomas GN, Lam TH, Leung GM (2007). Age of menarche and the metabolic syndrome in China. Epide-miol. 18: 740–6. https://www.jstor.org/stable/2O486464.


Hossain G, Islam S, Aik S, Zaman TK, Lestrel PE (2010). Age at menarche of university students in Bangladesh: secular trends and association with adult anthropometric measures and sociodemographic factors. J Biosoc Sci. 42(5): 677–87. http://doi.org/10.1017/s0021932010000210.


Ibáñez L, Jiménez R, de Zegher F (2006). Early puberty-menarche after precocious pubarche: relation to prenatal growth. Pediatr. 117(1): 117-21. http://doi.org/10.1542/peds.2005-0664.


Fan M, Lyu J, He P (2014). Guidelines for data processing and analysis of The International Physical Activity Questionnaire (IPAQ) 2005. Zhonghua liuxingbingxue zazhi. 35(8):961-4.


Karapanou O, Apadimitriou A (2010). Determinant of menarche. Reprod Biol Endocrinol J. 8: 115. https://doi.org/10.1186/1477-7827-8-115.


Kementrian Kesehatan Republik Indonesia (2011). Keputusan Menteri Kesehatan Republik Indonesia Nomor: 1995/MENKES/SK/XI/2010tentangStandardAntropometri Penilaian Status Gizi Anak. Jakarta: Kementerian Kesehatan RI,Direktorat Jenderal Bina Gizi dan Kesehatan Ibu dan Anak, Direktorat Bina Gizi 2011.


Khalid H, Khawar K, Fawad M, Farhat M, Imran M, Shahnawaz M, Shahid M, et al. (2015). Age of menarche in relation to socioeconomic status, BMI, physical activity and stress among high school girls. Proceeding S.Z.P.G.M.I; 29(1): 35-40. https://www.research-gate.net/publication/293158240_Age_of_Menarche_in_Relation_to_Socioeconomic_Status_BMI_Physical_Activity_and_Stress_Among_High_School_Girls.


Lee EY, Pabayo R, Kawachi, I (2016). Timing of spermarche and menarche are associated with physical activity and sedentary behavior among Korean adolescents. Osong Public Health Res Perspect. 7(4): 266-272. http://doi.org/10.1016/j.phrp.2016.-04.010.


Manuba IBG (2001). Ilmu kebidanan penyakit kandungan dan keluarga be-rencana. Jakarta: EGC.


Pramanik P, Banerjee SB, Ghosh A (2014). Lifestyle and nutritional status of school going adolescent girls in a semi urban area of West Bengal, India. IOSR J Dent Med Sci. 13(8): 37-42. http://doi.org/10.9790/0853-13833742.


Pramanik P, Rakshit S, Saha P (2015). Physical determinants of early menarche: Study of age at menarche and anthropometric measures in Bengali Girls. Sch J Appl Med Sci. 3(2C): 723-729. https://www.semanticscholar.org/paper/Physical-Determinants-of-Early-Menarche%3A-Study-of-Pramanik-Rakshit/0a5837dfc795a8700605839a638f47dcb46f3e46.


Saifuddin (2009). Buku acuan pelayanan kesehatan material dan neonatal. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.


Santrock J (2007).Remaja. Edisi kesebelas. Jilid Pertama, Jakarta: Erlangga.


Shaik SA, Hashim RT, Alsukait SF, Abdulkader GM, AlSudairy HF, AlShaman LM, Farhoud SS, Fouda Neel MA (2016). Assessment of age at menarche and its relation with body mass index in school girls of Riyadh, Saudi Arabia. Asian J Med Sci. 7(2): 5-12. http://doi.org/10.3126/ajms.v7i2.13-439.


Silva CML, Gigante DP, Minten (2008). Premenstrual symptoms and syndrom according to age at menarche in a 1982 birth cohor in Southhern. Cad Saude Publica. 24(4):835-44. https://doi.org/19.1590/S0102-311X2008-000400014.


Soetjiningsih (2007). Tumbuh kembang remaja dan permasalahannya. Jakarta: Sagung Seto.


Speroff L, Marc AF (2010). Clinical endocrinology and fertility Edisi ke-8. Philadelphia: Lippincott Williams Wilkins.


Tjokroprawiro A (2006). Hidup sehat dan bahagia bersama diabetes mellitus. Jakarta: Gramedia Pustaka Utama.


Towne B, Czerwinski SA, Demerath EW, Blangero J, Roche AF, Siervogel RM (2005). Heritability of age at menarche in girls from the fels longitudinal study. Am J Phys Anthropol. 128(1): 210–9. http://doi.org/10.1002/ajpa.20106.


Van Lenthe FJV, Kemper HCG, Van Mechelen W (1996). Rapid maturation in adolescence results in greater obesity in adulthood: the Amsterdam growth and health study. Am J Clin Nutr. 64(1): 18–24. http://doi.org/10.1093/ajcn/64.1.18.

Refbacks

  • There are currently no refbacks.